Clinical Endoscopist | North Middlesex University Hospital NHS Trust
| Posting date: | 19 April 2024 |
|---|---|
| Salary: | Not specified |
| Additional salary information: | £56,388 - £62,785 Per annum Inclusive of HCAS |
| Hours: | Full time |
| Closing date: | 19 May 2024 |
| Location: | London, N18 1QX |
| Company: | North Middlesex University Hospital NHS Trust |
| Job type: | Permanent |
| Job reference: | 6244225/393-NMUH-1110-A-B |
Summary
Clinical Endoscopist Band 8a
Contract - Permanent. Full-time 37.7 hours per week.
This post will be based at North Middlesex University Hospital (NMUH) to support the Clinical and Nursing Lead for Gastroenterology and Endoscopy, in meeting and maintaining the standards required by the Joint Advisory Group on Gastrointestinal Endoscopy (JAG).
The post holder will be a key member of the Endoscopy team and will work closely with the Senior Clinical Endoscopist, and Clinical Lead for Endoscopy, and Gastroenterology.
The Clinical Endoscopist role will be expected to perform Diagnostic Upper and Lower GI Endoscopy.
The Clinical Endoscopist will undertake procedures unsupervised as deemed competent by the Clinical Lead, and act as a mentor to trainees.
The Post holder will take an active role in ensuring Gastroenterology delivers the highest standards of clinical care. This will include supporting the implementation of new nationally agreed directives, programmes and seeking routes to improve / develop the service and role of Endoscopy Nurse or Allied health professional.
The Clinical Endoscopist will be accountable for the care of eligible patients referred for Endoscopy and perform Diagnostic procedure. Responsible for patient post procedure and ensure safe discharge from department.
North Middlesex University Hospital NHS Hospital Trust (NMUH) is one of London’s busiest healthcare providers, providing hospital care and community services for the 350,000 people living in Enfield, Haringey and beyond.
Our specialist services include HIV, cardiology, blood disorders, diabetes, fertility, sickle cell and thalassemia. In addition to a full range of cancer diagnosis and treatment services, the Helen Rollason Cancer Support Centre is based on-site and provides services to support cancer patients’ wellbeing.
We also provide community services and have a dedicated 0-19 service for children and young people in Enfield so that they can get the best possible start in life. This includes health visitors and school nurses who are delivering the national Healthy Child Programme, which provides a structured framework for the delivery of key interventions to support the health and wellbeing of children and families from 0 to 5 and school aged children from 5-19. The 0-19 service aims to improve pathways and partnerships with services in the hospital and deliver excellent care for the children and families.
For more information, please access the following link:https://www.northmid.nhs.uk/
Clinical responsibilities:
• Manage and co-ordinate the care for patients referred for endoscopy.
• Be responsible and accountable for all elements of professional nursing practice.
• Safely prepare patients for any investigation and facilitate the patient’s journey until discharge.
• To perform diagnostic endoscopic procedures, and once trained and deemed competent, will also be expected to perform PEG / PEG-J, NG/J, and polypectomies.
• Ensure minimum number for endoscopic procedures for JAG accreditation are performed, and ensuring JAG / GRS key performance indicators are conducted in line with recommended standards.
• To keep training profile which is up to date on the JETS website.
Ensure patient safely prepared for procedure and consent is achieved as per best practice, WHO checklist and in line with clinical governance.
• Possess the necessary understanding of endoscopic procedures and associated risks to enable valid patient consent to be gained.
Administer procedural medication as required and/or indicated within PGD, or scope of independent prescribing.
• To perform biopsies and polypectomy procedures as deemed competent.
• To work within BSG and JAG guidelines.
• To undertake patient review with Clinical Lead / gastroenterologist as appropriate.
• To ensure procedural report undertaken and copy given to patient, referring Consultant or GP.
• Ensure the needs of the patients are placed at the centre of care delivery, thus achieving trust and national standards for clinical quality, safety, and patient experience.
• To work autonomously in managing patients eligible for endoscopic procedure and liaise with consultant and members of the multi-professional team.
• Maintain effective communication with patients, carers, and professionals to ensure seamless service delivery.
• Assist with the assessment of new patient referrals and working alongside consultants to ensure appropriate investigations are performed in a timely manner and an agreed management plan is in place.
• To undertake assessment of the patient which includes physical examination, when applicable, ordering and interpreting diagnostic tests as appropriate.
• Taking patient history relating to relevant condition and order diagnostic tests.
• Ensure all assessments are documented fully and communicated effectively to consultant, referring member of the medical team or GP and members of the multi-professional team.
• To review previous test results and identify any abnormalities with blood tests / imaging and instigate appropriate action or escalation to consultant.
• To be accountable for coordinating patient care with the Consultants and administration team, in order to meet agreed standards/pathways. This will include prescriptions and updating patient and patients’ referring Consultant or GP of the care/treatment plan.
• To provide specialist clinical knowledge, support and practice, to patients and carers within the Department and wards. Ensure the patient and family are fully informed and understand the purpose of any investigations, treatment, and outcomes, in accordance with best practice and informed consent.
• To assess both outpatient & inpatients base on national standards, to determine patient clinically fit for interventions/treatments.
• To communicate with the administrative team and confirm all appointments for diagnostic investigations/treatments are timely/appropriate and as per protocol.
• To make decisions independently regarding clinical care and priorities where appropriate. Demonstrate clinical decision making and an ability to monitor and improve standards of care.
• To ensure the patient is informed of the outcome of their procedure/tests and they receive a definitive plan either discharge to GP or referral to specialist teams.
• To undertake aspects of the extended role of the nurse following appropriate training. Perform and assist with agreed procedures appropriate to the role and function of the Clinical Endoscopist
• To be responsible for setting, implementing, and monitoring acceptable standards of care for patients within Endoscopy.
• Co-ordinate and run nurse led clinics once deemed competent, in addition to managing and reviewing patients on an urgent basis in order to provide an expert and effective patient focused service.
• Communicate complex information following assessments and analyse information which is sensitive to patients/carers and health professionals. Support patients and their carers when giving bad news and dealing with difficult situations.
• Communicate information effectively and answer queries from patients, their relatives/carers and the multidisciplinary team members. Provide telephone support and advice which is safe and effective.
• Provide psychological and emotional support for patients through facilitation of relevant groups, counselling and information sharing.
• Maintain accurate patient records of all care delivered, procedures performed, and decisions/follow up post procedure.
• Work collaboratively with nursing colleagues to share good practice and provide equity of patient care. Be visible within clinical areas and act as a resource.
• Care and control of all medications used and ensuring systems in place for safe administration, ordering and maintenance of stock.
• Be accountable for principles of infection control and the prevention of cross infection in relation to patient care and the clinical environment.
• Participate in case conferences in relation to future management or discharge arrangements.
• Be accountable for safe discharge of patients post diagnostic procedure/clinic and ensure relevant information is given to patient/carer/referrer and GP. Be responsible in giving a full explanation of findings, outcomes post procedure and to organise further management in relation to these findings. .
• Working with Consultant Service Lead and other health professionals in order to achieve optimum waiting lists for endoscopic procedures, reduce length of hospital stay, promote timely discharge and prevent / minimize patients’ readmission.
This advert closes on Friday 3 May 2024
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